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https://www.readbyqxmd.com/read/27906818/impact-of-a-general-practitioners-strike-and-of-terrorist-attacks-on-a-call-centre
#1
Paul-Georges Reuter, Charlotte Orsini, Mélanie Grave, Frédéric Linval, Hayatte Akodad, Laurent Goix, Frédéric Adnet, Frédéric Lapostolle
OBJECTIVE: We aimed to evaluate the impact of the same-day GPs' strike and terrorist attacks on a call centre's activity. METHODS: We compared the number of calls received, the number of patient's medical files (PMFs) created and the number of mobile ICU (MICU) dispatched per hour on Friday, 13 November, to the repository established on the five previous Fridays. As previously published, the variation criterion was set to an activity variation above 20% for more than 2 h...
November 30, 2016: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/27882011/better-prognostic-marker-in-icu-apache-ii-sofa-or-sap-ii
#2
Iftikhar Haider Naqvi, Khalid Mahmood, Syed Ziaullaha, Syed Mohammad Kashif, Asim Sharif
OBJECTIVES: This study was designed to determine the comparative efficacy of different scoring system in assessing the prognosis of critically ill patients. METHODS: This was a retrospective study conducted in medical intensive care unit (MICU) and high dependency unit (HDU) Medical Unit III, Civil Hospital, from April 2012 to August 2012. All patients over age 16 years old who have fulfilled the criteria for MICU admission were included. Predictive mortality of APACHE II, SAP II and SOFA were calculated...
September 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27881698/effects-of-electrolyte-replacement-protocol-implementation-in-a-medical-intensive-care-unit
#3
Daniel J Pearson, Anit Sharma, Joshua A Lospinoso, Michael J Morris, Edward T McCann
PURPOSE: To evaluate the effects of electrolyte replacement protocol (ERP) implementation in the medical intensive care unit (MICU) setting. We hypothesized that a protocol would reduce the time of replacement dose administration and increase provider satisfaction with the process of electrolyte replacement. METHODS: This was a retrospective review of electronic medical record data before and after implementation of a standardized ERP in an 18-bed military tertiary care MICU...
November 22, 2016: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27878572/a-comparison-of-two-insulin-infusion-protocols-in-the-medical-intensive-care-unit-by-continuous-glucose-monitoring
#4
Christophe E M De Block, Peter Rogiers, Philippe G Jorens, Tom Schepens, Cosimo Scuffi, Luc F Van Gaal
BACKGROUND: Achieving good glycemic control in intensive care units (ICU) requires a safe and efficient insulin infusion protocol (IIP). We aimed to compare the clinical performance of two IIPs (Leuven versus modified Yale protocol) in patients admitted to medical ICU, by using continuous glucose monitoring (CGM). This is a pooled data analysis of two published prospective randomized controlled trials. CGM monitoring was performed in 57 MICU patients (age 64 ± 12 years, APACHE-II score 28 ± 7, non-diabetic/diabetic: 36/21)...
December 2016: Annals of Intensive Care
https://www.readbyqxmd.com/read/27857426/nonlinear-optical-responses-in-two-dimensional-transition-metal-dichalcogenide-multilayer-ws-sub-2-sub-wse-sub-2-sub-mos-sub-2-sub-and-mo-sub-0-5-sub-w-sub-0-5-sub-s-sub-2-sub-publisher-s-note
#5
S Bikorimana, P Lama, A Walser, R Dorsinville, S Anghel, A Mitioglu, A Micu, L Kulyuk
This publisher's note amends the Funding section of a recent publication [Opt. Express24, 20685 (2016].
November 14, 2016: Optics Express
https://www.readbyqxmd.com/read/27850184/544-impact-of-early-goals-of-care-education-and-discussion-in-the-micu-on-patient-outcomes
#6
Gehan Devendra, Kaori Arnone, Janelle Allen, Donna Miyamoto, Cheryl Fallon, Alexandre Guilloux, Julius Pham
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27849878/236-shock-index-as-a-marker-for-mortality-rates-in-those-admitted-to-the-micu-from-the-ed
#7
Nitasa Sahu
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27818685/primary-sjogren-s-syndrome-presenting-as-acute-interstitial-pneumonitis-hamman-rich-syndrome
#8
Abidullah Khan, Mohammad Humayun, Iqbal Haider, Maimoona Ayub, Zakir Shah, Fahad Ajmal
A previously well, 45-year-old Pakistani lady was admitted to the medical unit on-call of Khyber Teaching Hospital (KTH) Peshawar with a 5-day history of fever, productive cough with copious mucoid sputum, dyspnea, and pleuritic chest pain. She also complained of dry eyes, mouth, and vagina. Her chest X-ray showed diffuse alveolar shadowing and arterial gas analysis confirmed type 1 respiratory failure. Over the next few days, she deteriorated rapidly making an urgent transfer to the medical intensive care unit (MICU) necessary, where she was mechanically ventilated...
2016: Case Reports in Medicine
https://www.readbyqxmd.com/read/27790430/screening-for-intestinal-colonization-with-vancomycin-resistant-enterococci-and-associated-risk-factors-among-patients-admitted-to-an-adult-intensive-care-unit-of-a-large-teaching-hospital
#9
Rajesh Amberpet, Sujatha Sistla, Subhash Chandra Parija, Molly Mary Thabah
INTRODUCTION: Gut colonization with Vancomycin Resistant Enterococci (VRE) increases the risk of acquiring infection during hospital stay. Patients admitted in the ICU's are the major reservoirs for VRE colonization due to higher antibiotic pressure. AIM: To determine the rate of VRE colonization among patients admitted in the Medical Intensive Care Unit (MICU) and to assess the various risk factors which are associated with VRE colonization. MATERIALS AND METHODS: This was a prospective study carried out over a period of 18 months from September 2013 to February 2015 in the Jawaharlal Institute of Post graduate Medical Education and Research (JIPMER), Pondicherry, South India...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27771740/dynamic-change-of-surface-microbiota-with-different-environmental-cleaning-methods-between-two-wards-in-a-hospital
#10
Chang-Hua Chen, Chi-Chao Tu, Han-Yueh Kuo, Rong-Fong Zeng, Cheng-Sheng Yu, Henry Horng-Shing Lu, Ming-Li Liou
Terminal disinfection and daily cleaning have been performed in hospitals in Taiwan for many years to reduce the risks of healthcare-associated infections. However, the effectiveness of these cleaning approaches and dynamic changes of surface microbiota upon cleaning remain unclear. Here, we report the surface changes of bacterial communities with terminal disinfection and daily cleaning in a medical intensive care unit (MICU) and only terminal disinfection in a respiratory care center (RCC) using 16s ribosomal RNA (rRNA) metagenomics...
October 22, 2016: Applied Microbiology and Biotechnology
https://www.readbyqxmd.com/read/27748304/cleistanthus-collinus-poisoning-experience-at-a-medical-intensive-care-unit-in-a-tertiary-care-hospital-in-south-india
#11
Alladi Mohan, G Sivaram Naik, J Harikrishna, D Prabath Kumar, M H Rao, Kvs Sarma, K K Guntupalli
BACKGROUND & OBJECTIVES: Ingestion of Cleistanthus collinus causes hypokalemia and cardiac arrhythmias leading to mortality in most cases. We undertook this retrospective study to evaluate the clinical presentation and predictors of outcome in critically ill patients admitted with C. collinus poisoning. METHODS: The case records of 56 patients admitted to the medical intensive care unit (MICU) of a tertiary care teaching hospital in south India (2000-2014) with C...
June 2016: Indian Journal of Medical Research
https://www.readbyqxmd.com/read/27727931/performance-of-apache-ii-and-sofa-scoring-systems-in-patients-with-sepsis-and-related-syndromes-admitted-to-medical-intensive-care-unit-micu
#12
Sai Neelima Challa, A Mohan, J Harikrishna, Kvs Sarma, B S Kumar
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27727804/diagnostic-value-of-plasma-ngal-to-predict-acute-kidney-injury-in-patients-with-suspected-sepsis-admitted-to-emergency-and-micu
#13
H B Chandrashekhara, Mohammed Ghouse Shariff, Ravichandra Ns
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27660500/clinical-outcomes-of-3-year-experience-of-targeted-temperature-management-in-patients-with-out-of-hospital-cardiac-arrest-at-songklanagarind-hospital-in-southern-thailand-an-analysis-of-the-micu-ttm-registry
#14
Veerapong Vattanavanit, Rungsun Bhurayanontachai
BACKGROUND: Out-of-hospital cardiac arrest (OHCA) is one of the leading causes of intensive care unit admission, which results in high hospital mortality. Targeted temperature management (TTM) was introduced several years ago and is considered to improve neurological and mortality outcomes. This management process was implemented in our hospital in 2012, which was expected to improve the standard of care in OHCA patients. PURPOSE: We aimed to report the clinical and mortality outcomes after TTM was introduced to our hospital in 2012...
2016: Open Access Emergency Medicine: OAEM
https://www.readbyqxmd.com/read/27630192/efficacy-and-outcomes-after-vasopressin-guideline-implementation-in-septic-shock
#15
Janet Y Wu, Joanna L Stollings, Arthur P Wheeler, Matthew W Semler, Todd W Rice
BACKGROUND: In septic shock, the dose of norepinephrine (NE) at which vasopressin (AVP) should be added is unknown. Following an increase in AVP price, our medical intensive care unit (MICU) revised its vasopressor guidelines to reserve AVP for patients requiring greater than 50 µg/min of NE. OBJECTIVE: The purpose of this study is to compare efficacy and safety outcomes for patients admitted before the guideline revision with those for patients admitted after the revision...
September 14, 2016: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/27622415/concepts-in-diagnosing-scoring-and-monitoring-tenosynovitis-and-other-tendon-abnormalities-in-patients-with-rheumatoid-arthritis-the-role-of-musculoskeletal-ultrasound
#16
REVIEW
Mihaela C Micu, Florian Berghea, Daniela Fodor
In the last years, important advancements have been made in implementing high resolution imaging related information inside the global management algorithm in RA patients. Musculoskeletal ultrasound has already proven its utility in visualizing directly the joint synovial tissue, the synovial vascularization and in monitoring the response to therapy. Recently, much attention has been given to the presence of tenosynovitis, as a constant, complementary but different facet of the inflammatory involvement in RA...
September 2016: Medical Ultrasonography
https://www.readbyqxmd.com/read/27622408/pain-in-bilateral-knee-osteoarthritis-correlations-between-clinical-examination-radiological-and-ultrasonographical-findings
#17
Oana Serban, Mihai Porojan, Maria Deac, Flavia Cozma, Carolina Solomon, Manuela Lenghel, Mihaela Micu, Daniela Fodor
AIMS: The aim of the study was to evaluate the correlations between clinical symptoms (pain), physical examination, ultrasound (US), and radiological findings in patients with bilateral knee osteoarthritis (OA). MATERIAL AND METHODS: Knee pain was appreciated during medial and lateral palpation of each knee joint and using visual analogue scale (VAS) and The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). US evaluation (osteophytes, meniscal protrusion, synovial fluid, femoral hyaline cartilage thickness) and radiological assessment (osteophytes, femoral-tibial space, Kellgren-Lawrence [K-L] score, enthesopathies) were performed by two examiners blinded to the clinical results and to each other...
September 2016: Medical Ultrasonography
https://www.readbyqxmd.com/read/27608778/mortality-predictors-of-ards-in-medical-intensive-care-unit-of-a-tertiary-care-centre-in-a-tropical-country
#18
Rakesh Bhadade, Rosemarie de'Souza, Minal Harde, Dileep Asgaonkar, Nilesh Tuplondhe
BACKGROUND: Acute respiratory distress syndrome (ARDS) is a clinical syndrome of severe dyspnoea of rapid onset, hypoxemia, and diffuse pulmonary infiltrates leading to respiratory failure in the absence of cardiac failure. We did the study to asses various aetiologies of ARDS, to determine the correlation between the diagnostic criteria, mortality predictors, need of mechanical ventilation and the outcome of patients. This was an observational, prospective study in medical intensive care unit (MICU) of a tertiary care hospital, over a period of 15 months...
November 2015: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27607672/nonlinear-optical-responses-in-two-dimensional-transition-metal-dichalcogenide-multilayer-ws-sub-2-sub-wse-sub-2-sub-mos-sub-2-sub-and-mo-sub-0-5-sub-w-sub-0-5-sub-s-sub-2-sub
#19
S Bikorimana, P Lama, A Walser, R Dorsinville, S Anghel, A Mitioglu, A Micu, L Kulyuk
Synthetic two-dimensional transition metal dichalcogenides such as, tungsten disulphide (WS<sub>2</sub>), tungsten diselenide (WSe<sub>2</sub>), molybdenum disulphide (MoS<sub>2</sub>) as well as mixed molybdenum tungsten disulphide (Mo<sub>0.5</sub>W<sub>0.5</sub>S<sub>2</sub>) single crystals were grown by the chemical vapor transport method using halogens (bromine or chlorine) as transport agents. Multi- layer samples were cleaved from the single crystals, and their nonlinear optical (NLO) properties were obtained from both open aperture and closed aperture Z-scan measurements using a picosecond mode-locked Nd: YAG laser operating at a wavelength of 1064 nm, with pulse duration of 25 ps, and 20 Hz repetition rate...
September 5, 2016: Optics Express
https://www.readbyqxmd.com/read/27578918/expression-profile-of-p53-and-p21-in-large-bowel-mucosa-as-biomarkers-of-inflammatory-related-carcinogenesis-in-ulcerative-colitis
#20
Cristiana Popp, Luciana Nichita, Theodor Voiosu, Alexandra Bastian, Mirela Cioplea, Gianina Micu, Gabriel Pop, Liana Sticlaru, Andreea Bengus, Andrei Voiosu, Radu Bogdan Mateescu
Ulcerative colitis (UC) is a chronic, relapsing inflammatory bowel disease that slightly increases the risk of colorectal cancer in patients with long-standing extended disease. Overexpression of p53 and p21 in colonic epithelia is usually detected in UC patients when no dysplasia is histologically seen and it is used by pathologists as a discriminator between regenerative changes and intraepithelial neoplasia, as well as a tissue biomarker useful to predict the risk of evolution toward malignancy. We present a one-year prospective observational study including a cohort of 45 patients with UC; p53 and p21 were evaluated in epithelial cells...
2016: Disease Markers
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